| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $796.38 | $1,268.00 | $2,250.00 | |
BCBS
| Facility | $3,402.43 | $4,129.01 | $5,554.84 | |
United
| Facility | $1,124.00 | $3,384.00 | $5,251.00 |
Ligj Divj&Strip Long Saph Saphfem Junct Kne/Belw
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $796.38 | $1,268.00 | $2,250.00 | |
BCBS
| Facility | $3,402.43 | $4,129.01 | $5,554.84 | |
United
| Facility | $1,124.00 | $3,384.00 | $5,251.00 |